Skip to main content

Table 1 Process for mapping sustainability barriers and facilitators to ERIC implementation strategies for inclusion in implementation playbook

From: Assessing the sustainability of compliance with surgical site infection prophylaxis after discontinuation of mandatory active reporting: study protocol

Formative evaluation barrier/facilitator

DSF construct

Example ERIC implementation strategy

Definition of implementation strategy

Example tool or action to be included in playbook

Lack of knowledge about pre-incision prophylaxis, and harms associated with prolonged prophylaxis

Providers involved in intervention (intervention)

Conduct educational meeting

Hold meetings targeted toward different stakeholder groups to teach them about the clinical innovation

Educational sessions to focus on developing these skills

Concern about “standard of care” and lack of resources to comply with established practices

Staffing, training (practice setting/context)

Conduct ongoing training

Change clinic system

Plan for and conduct training in the innovation in an ongoing way

Change clinic systems to allow better assessment of implementation or clinical outcomes

Development of webinar and in-person trainings, technology platform to provide new method of collaborating with surgical and infectious disease colleagues across sites

Concern about lack of national-level policy and surveillance program to detect infections

Population characteristics (ecological system)

Develop and distribute educational material

Develop and format manuals, toolkits, and other supporting materials in ways that make it easier for stakeholders to learn about the innovation

FAQ sheets for patients, family members, staff, clinicians prior to Hybrid Type III testing of implementation strategies for sustaining SCIP

Availability of Surgical Checklists, Protocols, and Order sets (facilitator)

Components (intervention)

Capture and share local knowledge

Capture local knowledge from sites on how clinicians made something work in their setting and share it with other sites

Example protocols that can be locally adapted and disseminated; Sharepoint site with resources for facilities

  1. ERIC Expert Recommendations for Implementation Change [20]